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    v1.0.28
    OpenPayerNPI Medicare & MedicaidEric Benson
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    Eric Benson — Billing Profile & Reimbursement Data

    NPI 1982683769 · Manchester, NH · Orthopaedic Surgery Physician

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    Eric Benson is a orthopaedic surgery physician provider located in Manchester, New Hampshire. This profile covers 18 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationEric Benson
    Address700 Lake Ave
    CityManchester
    StateNH
    ZIP03103
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedJanuary 11, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$824.5K
    Medicaid$0

    Key Findings

    This provider’s lifetime Medicare revenue is $824.5K and there is no Medicaid billing on file (listed as “none below”), so the practice is effectively single‑payer Medicare-focused at the claim level. The top three Medicare codes account for 65.5% of Medicare revenue, indicating the practice’s income is concentrated in a very small set of services.

    The code mix points to an orthopaedic practice built around high-volume intra-articular injection care plus episodic surgical arthroplasty and office imaging: prominent codes include J3304, J7318, J0702 and 20610 (injections and joint/bursa procedures), with 27447 and 27130 representing knee and hip replacement activity and 73562/73502 representing routine knee/hip x‑rays. Taken together, this pattern suggests a clinic model that delivers frequent in-office injections and diagnostic imaging alongside a smaller volume of operative arthroplasty.

    Revenue concentration is extreme for a few services: J3304 alone represents $386K (47.3% of Medicare revenue) and the precomputed top‑3 share is 65.5% of Medicare revenue, meaning a majority of dollars flow from very few CPT/HCPCS codes. That concentration could make the provider’s Medicare revenue sensitive to changes in utilization, payer coverage, or reimbursement for those specific codes.

    On national competitive standing, this provider is a major outlier for several injection and imaging services: J3304 ranks #2 of 1181 providers nationally (100th percentile; extreme outlier), 20610 ranks #142 of 39752 (100th percentile; extreme outlier), J0702 ranks #121 of 9282 (99th percentile; extreme outlier), and 73562 ranks #91 of 26819 (100th percentile; extreme outlier). Meanwhile common office E/M codes are elevated but not extreme — 99213 ranks in the 97th percentile (notably above typical national volume) and 99214 in the 83rd percentile (typical, unremarkable volume) — indicating unusually high procedural throughput alongside above‑average outpatient visit volumes.

    Operationally the provider runs a very high-volume injection practice: J3304 shows 29.7K claims at $13 avg paid/claim, J7318 shows 9.8K claims at $5 avg paid/claim, and J0702 shows 1.6K claims at $5 avg paid/claim, while 20610 appears 1.1K times at $54 avg paid/claim. This mix of many low‑unit reimbursements for injectable products plus frequent joint injections implies a workflow optimized for same‑day injections and repeat visits rather than high single‑case surgical revenue.

    There is a measurable but smaller component of surgical and procedural revenue: 27447 (knee arthroplasty) accounts for $91.1K (11.2% of Medicare revenue) with 90 claims, and 27130 (hip arthroplasty) contributes $36.4K (4.5% of Medicare revenue) with 36 claims. These counts show the provider performs some arthroplasty procedures but the bulk of Medicare dollars are driven by injection therapy and imaging rather than by high volumes of joint replacements.

    The absence of any Medicaid billing on file (“none below”) means this provider has no recorded Medicaid revenue to compare against in‑state peers, limiting insights into the provider’s footprint in the Medicaid market or potential state‑level contracting leverage. Analysts should treat the profile as Medicare‑centric when assessing payer mix, utilization drivers, and competitive comparisons.

    The NPI was enumerated on 2006-01-11 (~20 years ago), indicating an established provider tenure that likely supports a stable referral and repeat‑visit base for the high-frequency injection services observed. Long tenure combined with concentrated service patterns is consistent with an entrenched outpatient orthopaedic practice specializing in conservative joint management with supplemental arthroplasty capability.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J3304Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg29,700$10$386K
    27447In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…90$1,010$91.1K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…1,060$50$57.4K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…770$60$49.5K
    J7318Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg9,840$10$49.2K
    J7326Hyaluronan or derivative, gel-one, for intra-articular injection, per dose110$400$45.1K
    27130In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or…40$1,010$36.4K
    73562In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.780$40$33.5K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…350$90$31.2K
    73502In this diagnostic procedure, the provider takes X–ray images of one hip, either left or right, from two or three projections (directions or angles) to check for any fracture, swelling, or other…250$40$8.6K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2744779040$1,310$57.7K
    27130307030$1,580$55.3K
    J33041201,760$10$51.8K
    J732611040$400$22.4K
    J73181102,400$10$16.3K
    992144113,150110$80$13.2K
    99213332,90070$50$6.9K
    992042171,34030$100$4.6K
    20610125050$50$4.5K
    7214810812040$70$4.1K

    Showing 1–10 of 18

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Eric Benson, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Circle Health Urgent Care, LLCMAUrgent Care Clinic/Center$0$5.9M
    Concord Orthopaedics Professional AssociationNHOrthopaedic Surgery Physician$0$646.8K
    Stephen KellyMAOrthopaedic Surgery Physician$379.3K$110.9K
    Michael AyersMAOrthopaedic Surgery Physician$484.8K$0
    Geoffrey Van FlandernMAOrthopaedic Surgery Physician$408.1K$0
    Andrew LehmanMAOrthopaedic Surgery Physician$370.3K$4.8K
    Alexander BrothersMAOrthopaedic Surgery Physician$328.3K$22K
    James NairusMAOrthopaedic Surgery Physician$339.8K$0
    Michael MarchettiMAOrthopaedic Surgery Physician$323.4K$0
    Dinakar MurthiNHOrthopaedic Surgery Physician$322.7K$0

    Nearby Providers

    Other providers in the same ZIP code as Eric Benson, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Mental Health Center Of Greater ManchesterNHMental Health Clinic/Center (Including Community Mental Health Center)$0$143.9M
    Easter Seals New Hampshire, IncNHDevelopmental Disabilities Clinic/Center$0$63.1M
    Elliot Hospital Of The City Of ManchesterNHGeneral Acute Care Hospital$0$60.5M
    Easter Seals New Hampshire, IncNHDevelopmental Disabilities Clinic/Center$0$37.9M
    Metro Treatment Of New Hampshire, LPNHMethadone Clinic$859.8K$15.4M
    Manchester Alcoholism Rehabilitation CenterNHSubstance Use Disorder Rehabilitation Clinic/Center$0$16M
    Minuteman Medical Inc.NHDurable Medical Equipment & Medical Supplies$0$15M
    Factor Dental, IncNHPoint of Service$0$12.5M
    Bayada Home Health Care, Inc.NHHome Health Agency$0$9.3M
    Lifeshare Management Group, Inc.NHIn Home Supportive Care Agency$0$8.7M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. New Hampshire Distribution
    Eric Benson — 8 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Hampshire